A Double-blind Study Evaluating the Efficacy, Safety, and Tolerability of Zorevunersen in Patients With Dravet Syndrome

Last updated: May 29, 2026
Sponsor: Stoke Therapeutics, Inc
Overall Status: Active - Recruiting

Phase

3

Condition

Seizure Disorders (Pediatric)

Dravet Syndrome

Unverricht-lundborg Syndrome

Treatment

Sham Comparator

zorevunersen

Clinical Study ID

NCT06872125
STK-001-DS-301
2024-519555-28
  • Ages 2-17
  • All Genders

Study Summary

The purpose of the study is to evaluate the efficacy, safety, and tolerability of zorevunersen in Patients with Dravet syndrome.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Patients must be ≥2 and <18 years of age.

  2. Patients must have a clinical diagnosis of DS confirmed by the Epilepsy StudyConsortium, Inc. (ESCI) and as defined by: Onset, prior to 12 months (inclusive, <13 months), of age, of recurrent focal withmotor signs, hemiclonic, or generalized tonic-clonic seizures. No other knownetiology causing clinical DS manifestations..

  3. Patient must have a documented pathogenic, likely pathogenic variant, or variant ofuncertain significance in the sodium voltage-gated channel type 1 alpha subunit (SCN1A) gene. Patients who have SCN1A testing results of Negative (no variantsidentified) cannot be randomized.

  4. Patient must experience the required number of major motor seizures during the 6-week Observation Period. Major motor seizure types included are Seizure typesincluded in counts are Hemiclonic, Focal with Motor Signs, Focal to BilateralTonic-Clonic, Generalized Tonic-Clonic, Tonic, Tonic/Atonic (Drop Attacks with fallor risk of fall), and Bilateral Clonic.

  5. Patient must have used at least 2 prior interventions for seizures. These caninclude anti-seizure medications (ASMs), ketogenic diet and/or vagus nervestimulation (VNS) with either lack of adequate seizure control or discontinued dueto an AE(s). These interventions can be ongoing therapies.

  6. Patient must be taking at least one ASM. Benzodiazepines or ASMs used on a standingbasis (i.e., not as needed [PRN]) for any indication will be considered an ASM.

  7. Patients' maintenance ASMs and interventions for seizures (i.e., ketogenic diet orVNS), as well as any marijuana- or cannabinoid-based products, must have been stable (unless adjusted for weight) during the Baseline Period.

Exclusion

Key Exclusion Criteria:

  1. Patient has documented variant in the SCN1A gene associated with gain-of-function

  2. Patient is currently treated with a maintenance ASM acting primarily as a sodiumchannel blocker, including but not limited to phenytoin, carbamazepine,oxcarbazepine, lamotrigine, lacosamide, rufinamide, or cenobamate, given themechanism of action of zorevunersen.

  3. Patient is currently treated with neuromodulation techniques (e.g., responsiveneurostimulation, deep brain stimulation, or transcranial magnetic stimulation),with the exception of VNS.

  4. Patient has emergence of a new seizure type or reemergence of a past seizure type (seizure types that last occurred more than 12 months before Screening Visit A)during the Baseline Period, or has more than 1 hospitalization for seizures duringthe Baseline Period.

Study Design

Total Participants: 170
Treatment Group(s): 2
Primary Treatment: Sham Comparator
Phase: 3
Study Start date:
June 04, 2025
Estimated Completion Date:
October 31, 2028

Study Description

Zorevunersen is an investigational new medicine for the treatment of Dravet syndrome. It is an antisense oligonucleotide (ASO) that is intended to increase the level of productive SCN1A messenger RNA (mRNA) and consequently increase the expression of the sodium channel Nav1.1 protein. This RNA-based approach is not gene therapy, but rather RNA modulation, as it does not manipulate nor insert genetic deoxyribonucleic acid (DNA).

Zorevunersen is designed to upregulate Nav1.1 protein expression from the nonmutant (wild-type) copy of the SCN1A gene to restore physiological Nav1.1 levels. Nav1.1 levels are reduced in people with Dravet syndrome.

This is a global, multicenter, randomized, double-blind, sham-controlled, parallel group Phase 3 study to assess the efficacy, safety, and tolerability of zorevunersen in patients with Dravet syndrome. The study duration and endpoints are designed to evaluate the potential of zorevunersen for disease modification. The study consists of two parts, Treatment Period 1 and Treatment Period 2. The primary and secondary endpoints will be assessed at the conclusion of Treatment Period 1. These endpoints will be assessed again at the end of Treatment Period 2. The primary endpoint is the change from baseline in major motor seizure frequency. Secondary endpoints include the change in behavior and cognition, clinical status, and health-related quality of life in patients with Dravet syndrome.

Patients will have the opportunity to enroll in an open label extension study and receive zorevunersen if they meet eligibility criteria at the end of the study.

Connect with a study center

  • Hôpital de la Timone

    Marseille,
    France

    Active - Recruiting

  • Hôpital Necker - Enfants Malades

    Paris,
    France

    Active - Recruiting

  • Hôpital Robert Debré - Paris

    Paris,
    France

    Active - Recruiting

  • Charité - Campus Virchow-Klinikum

    Berlin,
    Germany

    Active - Recruiting

  • Universitaetsklinikum Bonn AoeR

    Bonn,
    Germany

    Active - Recruiting

  • Universitaetsklinikum Frankfurt Goethe-Universitaet

    Frankfurt,
    Germany

    Active - Recruiting

  • Universitaetsklinikum Freiburg

    Friedberg,
    Germany

    Active - Recruiting

  • Universitaetsklinikum Heidelberg

    Heidelberg,
    Germany

    Active - Recruiting

  • Integriertes Sozialpaediatrisches Zentrum

    München,
    Germany

    Active - Recruiting

  • Azienda Ospedaliero Universitaria Ospedale Pediatrico Meyer

    Florence,
    Italy

    Active - Recruiting

  • Istituto Giannina Gaslini-Ospedale Pediatrico IRCCS

    Genova,
    Italy

    Active - Recruiting

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma,
    Italy

    Active - Recruiting

  • Ospedale Pediatrico Bambino Gesù

    Roma,
    Italy

    Active - Recruiting

  • Fukuoka Children's Hospital

    Fukuoka,
    Japan

    Active - Recruiting

  • Hokkaido University Hospital

    Hokkaido,
    Japan

    Active - Recruiting

  • Kyoto University Hospital

    Kyoto,
    Japan

    Active - Recruiting

  • Nagoya University Hospital

    Nagoya,
    Japan

    Active - Recruiting

  • National Hospital Organization Nishi Niigata Central Hospital

    Niigata,
    Japan

    Active - Recruiting

  • Okayama University Hospital

    Okayama,
    Japan

    Active - Recruiting

  • Osaka City General Hospital

    Osaka,
    Japan

    Active - Recruiting

  • Jichi Medical University Hospital

    Shimotsuke,
    Japan

    Active - Recruiting

  • NHO Shizuoka

    Shizuoka,
    Japan

    Active - Recruiting

  • National Center of Neurology and Psychiatry

    Tokyo,
    Japan

    Active - Recruiting

  • Yokohama City University Medical Center

    Yokohama,
    Japan

    Active - Recruiting

  • Hospital Blua Sanitas Valdebebas

    Madrid,
    Spain

    Active - Recruiting

  • Hospital Ruber Internacional

    Madrid,
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    Pamplona,
    Spain

    Active - Recruiting

  • Royal Hospital for Children

    Glasgow, G51 4TF
    United Kingdom

    Active - Recruiting

  • Great Ormond Street Hospital for Children

    London, WC1N 3JH
    United Kingdom

    Active - Recruiting

  • Sheffield Children's Hospital

    Sheffield, S10 2TH
    United Kingdom

    Active - Recruiting

  • Phoenix Children's Hospital

    Phoenix, Arizona 85016
    United States

    Active - Recruiting

  • Arkansas Children's Hospital

    Little Rock, Arkansas 72202
    United States

    Active - Recruiting

  • Cedars Sinai Medical Center

    Los Angeles, California 90048
    United States

    Active - Recruiting

  • Children's Hospital of Orange County

    Orange, California 92868
    United States

    Active - Recruiting

  • USCF Medical Center

    San Francisco, California 94158
    United States

    Active - Recruiting

  • Children's Hospital Colorado

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • Children's National Medical Center

    Washington D.C., District of Columbia 20010
    United States

    Active - Recruiting

  • Nemours Children's Health

    Jacksonville, Florida 32207
    United States

    Active - Recruiting

  • Nicklaus Children's Hospital

    Miami, Florida 33155
    United States

    Active - Recruiting

  • Advent Health Neuroscience Research Institute

    Orlando, Florida 32804
    United States

    Active - Recruiting

  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • University of Iowa Hospital and Clinics

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • Boston Children's Hospital

    Boston, Massachusetts 02115
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Active - Recruiting

  • CS Mott Children's Hospital

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Washington University in St. Louis School of Medicine

    St Louis, Missouri 63110
    United States

    Site Not Available

  • NYU Langone Comprehensive Epilepsy Center

    New York, New York 10016
    United States

    Site Not Available

  • NYU Langone Health

    New York, New York 10016
    United States

    Active - Recruiting

  • Weill Cornell Medicine

    New York, New York 10021
    United States

    Active - Recruiting

  • University of Rochester Medical Center

    Rochester, New York 14642
    United States

    Active - Recruiting

  • NYU Langone Comprehensive Epilepsy Center

    New York 5128581, New York 5128638 10016
    United States

    Site Not Available

  • Weill Cornell Medicine

    New York 5128581, New York 5128638 10021
    United States

    Active - Recruiting

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina 27514
    United States

    Active - Recruiting

  • Duke University Health System

    Durham, North Carolina 27705
    United States

    Active - Recruiting

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio 45229
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

  • Nationwide Children's Hospital

    Columbus, Ohio 43205
    United States

    Active - Recruiting

  • Oregon Health & Science University (OHSU)

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • LeBonheur Children's Hospital

    Memphis, Tennessee 38103
    United States

    Active - Recruiting

  • Cook Children's Medical Center

    Fort Worth, Texas 76104
    United States

    Active - Recruiting

  • Texas Children's Hospital

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Utah Primary Children's Hospital

    Salt Lake City, Utah 84113
    United States

    Active - Recruiting

  • UVA Health

    Charlottesville, Virginia 22903
    United States

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.